News & Analysis

April 1, 2012
Case Management Monthly

When case managers are looking at patients who are frequently readmitted to their facility within 30 days of their last discharge, chances are they'll find a lot of chronic heart failure (CHF) patients among them. That's because CHF patients typically have a higher readmission rate than any other disease, says Jan Lear, RN, CMC, director of case management at ­MedStar Franklin Square Medical Center (MFSMC) in Baltimore.

April 1, 2012
Briefings on HIPAA

Mac McMillan, CISSM, has an insider’s look at what it’s like to undergo a HIPAA compliance audit.

April 1, 2012
Briefings on HIPAA

Navigating the new world of social media is challenging for many professions, but perhaps none more so than the medical profession, where physicians and other healthcare professionals must balance a tell-all online culture with the HIPAA Privacy Rule's mandate to protect patient privacy.

April 1, 2012
Briefings on HIPAA

How well you train your workforce members will determine whether you score points or encounter problems during a HIPAA compliance audit.

April 1, 2012
Briefings on APCs

Coders and billers may not completely understand how to charge for inpatient supplies. One misconception is that the room rate incorporates all supplies used for every inpatient. Another misconception is that payers will not separately pay for inpatient supplies.

April 1, 2012
Briefings on APCs

Editor’s note: To help coders prepare for the upcoming transition to ICD-10-CM, we will provide occasional articles about specific anatomical locations and body parts as part of a larger series for ICD-10-CM preparation. This month’s column addresses digestive system.

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